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我科自１９８９年１月至１９９３年８月共收治卵巢畸胎瘤１５４例，成熟型１４９例，未成熟型５例。最小年龄５岁，最大年龄７４岁，以２０～４０岁居多。手术方式单侧附件切除７５例，单侧附件切除加对侧剜除１８例，单侧剥除３９例，全子宫切除加单侧附件切除、对侧卵巢楔形切除１４例，根治术１例。对未生育的８０例患者对侧增大的卵巢进行了剖开检查，发现畸胎瘤８例，占１０％。我们仅对保存部分卵巢者中的３０例患者进行了卵巢功能及生育能力随访，术后月经周期正常２６例，经期提前３例，月经不规则１例，术后有妊娠史者４例，５例未成熟畸胎瘤患者术后短期化疗４例健在，本文认为卵巢畸胎瘤多见于年轻妇女，对５０岁以上或绝经期后的妇女应行全子宫切除加双侧附件切除，对年轻妇女应以保留卵巢功能的手术较合理，手术切除患侧肿瘤时有必要剖检对侧增大的卵巢；对Ⅰ期未成熟畸胎瘤，渴望生育的妇女可行单侧附件切除。
In our department, 154 cases of ovarian teratoma were treated from January 1989 to August 1993. There were 149 cases of mature type and 5 cases of immature type. The minimum age is 5 years old, and the maximum age is 74 years old, with the majority being 20-40 years old. Seventy-five patients underwent unilateral attachment resection, 18 cases underwent unilateral attachment and removal of the contralateral side, 39 cases underwent unilateral excision, total hysterectomy plus unilateral attachment resection, contralateral ovary wedge resection in 14 cases, and radical resection in 1 case. The contralateral enlarged ovary was examined in 80 unexpanded patients and found to be teratoma in 8 cases, accounting for 10%. We only performed ovarian function and fertility follow-up in 30 patients who had preserved part of the ovaries. The postoperative menstrual cycle was normal in 26 cases, the menstrual period was 3 cases in advance, the menstruation was irregular in 1 case, and there were 4 cases of postoperative pregnancy history. 5 4 cases of immature teratoma patients with short-term chemotherapy after surgery, this article believes that ovarian teratoma is more common in young women, women over the age of 50 or postmenopausal women should undergo hysterectomy plus bilateral adnexectomy, for young women Ovarian function should be preserved in the surgery is more reasonable, surgical removal of the affected side of the tumor when it is necessary to necropsy in the contralateral side of the increase; for immature teratoma, women who desire fertility feasible unilateral attachment resection.